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General NPI Number Information
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NPI Number | 1033849575
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Entity Type | Organization
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Legal Business Name | LEARNING TO ACHIEVE WELLNESS INC
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 413 W ROBERTSON ST
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City | BRANDON
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State | FL
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Zip | 33511-5014
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Country | US
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Telephone | 813-999-1516
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Fax | 813-336-8384
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Provider Business Mailing Address
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Address Line | 413 W ROBERTSON ST
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City | BRANDON
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State | FL
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Zip | 33511-5014
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Country | US
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Telephone | 813-999-1516
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Fax | 813-336-8384
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Authorized Official
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Title or Position | OWNER
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Name | MS. LILLIAN INGRAM
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Credential | APRN
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Telephone | 813-999-1516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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